OrganizationActive
Southcentral Foundation
NPI 1144777046 · General Practice Dentistry · Pedro Bay, AK
Southcentral Foundation is a General Practice Dentistry organization in Pedro Bay, AK (NPI 1144777046).
Provider details
- NPI number
- 1144777046
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Southcentral Foundation
- Organization subpart
- Yes
- Authorized official
- Ronald Olson, Executive Vice President Finance(907) 729-4939
- License
- 20467 (AK)
Practice location
2516 Mountain Circle
Pedro Bay, AK 99647
Phone: (907) 850-2229
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35151
Seattle, WA 98124-5151
Registry dates
- Enumerated
- 2016-09-08
- Last updated
- 2023-09-01
- Certified
- 2023-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.